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Individual
MR. ROBERT LYLE ESTES
Active
Individual
MR. ROBERT LYLE ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-01-0504
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
671972402
—
FL
Enumeration date
08/08/2006
Last updated
10/19/2019
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